Nokea
A client with rheumatoid arthritis taking hydroxychloroquine (Plaquenil) should be taught that, because of this drug therapy, he should
- A. expect relief of pain and inflammation within 1-2 weeks
- B. have an eye examination every 4-6 months
- C. take the medication before bedtime
- D. be alert for development of a skin rash
Correct Answer: B
Rationale: Hydroxychloroquine can cause retinal damage, requiring regular eye exams.
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When assessing a patient for signs of increased intracranial pressure (ICP), the nurse should look for:
- A. Changes in level of consciousness, headache, and vomiting.
- B. Normal pupil size and reaction.
- C. Absence of nausea or vomiting.
- D. Clear and coordinated movements.
Correct Answer: A
Rationale: Increased intracranial pressure (ICP) is associated with changes in consciousness, headache, and vomiting. Normal pupil size, absence of nausea, and clear movements are not indicative of ICP.
Mr. K., aged 60 years, has a diagnosis of transient ischemic attack. An essential aspect of his history that needs to be documented is
- A. sudden, brief loss of sensory, motor, or visual function
- B. determining if he has any allergies
- C. any history of neurologic disease
- D. his medication history, both prescribed and over-the-counter
Correct Answer: A
Rationale: Sudden neurological deficits are hallmark symptoms of TIA.
A 60-year-old woman has pain on motion in her fingers and asks the nurse whether this is just a result of aging. The best response by the nurse should include what information?
- A. Joint pain with functional limitation is a normal change that affects all people to some extent.
- B. Joint pain that develops with age is usually related to previous trauma or infection of the joints.
- C. This is a symptom of a systemic arthritis that eventually affects all joints as the disease progresses.
- D. Changes in the cartilage and bones of joints may cause symptoms of pain and loss of function in some people as they age.
Correct Answer: D
Rationale: Age-related joint changes can cause pain and dysfunction.
What is a nursing intervention that is indicated for the patient with hemiplegia?
- A. The use of a footboard to prevent plantar flexion
- B. Immobilization of the affected arm against the chest with a sling
- C. Positioning the patient in bed with each joint lower than the joint proximal to it
- D. Having the patient perform passive range of motion (ROM) of the affected limb with the unaffected limb
Correct Answer: A
Rationale: Using a footboard helps prevent contractures and deformities in patients with hemiplegia
The nurse positions a client who is being treated for a fracture. Why should care be taken to position the client's joints in an anatomic alignment?
- A. To prevent deep vein thrombosis
- B. To facilitate the lung expansion and prevent the pooling of secretions
- C. To prevent the escalation of the pain and swelling
- D. To prevent damage to the peripheral nerves and the blood vessels
Correct Answer: D
Rationale: Proper alignment prevents nerve and vascular damage.